Adherence index to the American Heart Association Diet and Lifestyle Recommendation is associated with the metabolic syndrome in Japanese male workers |
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| Authors: | Yukari Kuroki Kimiko Kanauchi Masao Kanauchi |
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| Institution: | 1. Department of Health and Nutrition, Faculty of Health Science, Kio University, Japan;2. Department of Internal Medicine, Narahigashi Hospital, Japan;1. Pennington Biomedical Research Center, Baton Rouge, LA, USA;2. First Affiliated Hospital of Medical School, Xi''an Jiaotong University, Xi''an, Shaanxi, China;3. School of Public Health, Louisiana State University Health Science Center, New Orleans, LA, USA;4. Health Care Service Division, Louisiana State University Health Science Center, Baton Rouge, LA, USA;5. Earl K Long Medical Center, Louisiana State University Health Science Center, Baton Rouge, LA, USA;1. Department of Transfusion Medicine and Hematology, Carlo Poma Hospital, Mantova, Italy;2. Scientific Direction, IRCCS Cà Granda Foundation Maggiore Hospital, Milan, Italy;1. Department of Internal Medicine, American University of Beirut Medical Center, PO Box 11-0236, Riad El-Solh 1107-2020, Beirut, Lebanon;2. Department of Medicine, Emory University School of Medicine, 1648 Pierce Drive, N.E., Atlanta, GA 30322, USA;3. Department of Medicine, MedStar Good Samaritan Hospital, 5601 Loch Raven Boulevard, Baltimore, MD 21239, USA;4. Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, 1400S, Coulter Street, Amarillo, TX 79106, USA;1. Department of Gastroenterology and Hepatology, The Barzilai Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;2. Clinical Research Center, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;3. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;4. Department of Internal Medicine, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;5. Department of Gastroenterology and Hepatology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of The Negev, Israel;1. Department of Histology, Jagiellonian University Medical College, Kopernika 7, 31-034 Krakow, Poland;2. Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego 152, 31-342 Krakow, Poland;3. Department of Coronary Disease, Jagiellonian University Medical College, John Paul II Hospital, Pradnicka 80, 31-202 Krakow, Poland;4. Deutsches Elektronen-Synchrotron (DESY), Notkestraβe 85, D-22607 Hamburg, Germany;5. Department of Cardiac and Vascular Surgery and Transplantology, Jagiellonian University Medical College, Pradnicka 80, 31-202 Krakow, Poland |
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| Abstract: | BackgroundAs Japanese societies rapidly undergo Westernization, the prevalence of metabolic syndrome is increasing. We investigated the association between dietary habits and the prevalence of metabolic syndrome using a new adherence index to optimal dietary habits based on the American Heart Association Diet and Lifestyle Recommendation (AHA-DLR).MethodsWe conducted a cross-sectional study of 503 male workers who completed a brief food frequency questionnaire. Adherence to the AHA-DLR was assessed using a 10-component adherence index (AI-84; a total possible score of 84 points). Metabolic syndrome was defined according to the most recently published harmonized criteria by the International Diabetes Federation in conjunction with the National Heart, Lung, and Blood Institute, American Heart Association, World Heart Federation, International Atherosclerosis Society, and International Association for the Study of Obesity.ResultsThe prevalence of metabolic syndrome was 26.6% and the AI-84 score ranged from 5 to 56 points. Subjects with metabolic syndrome had a significantly lower AI-84 score compared with those without (27.1 ± 9.1 vs. 28.9 ± 9.2, p = 0.042). After adjusting for age, energy intake, smoking habit and physical activity, a higher AI-84 score was associated with a significantly lower prevalence of metabolic syndrome, with an odds ratio of 0.778 (95% CI 0.614–0.986, p = 0.038) for each 10-point score increment.ConclusionsA lower AI-84 score was associated with increased prevalence of metabolic syndrome. Our findings support a potential beneficial impact of nutritional assessment using adherence to the AHA-DLR for prevention of metabolic syndrome. |
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